INSTITUTO NACIONAL DE MEDICINA LEGAL Y CIENCIAS FORENSES

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END-USE CERTIFICATE (EUC)

FOR PRESENTATION TO THE EXPORT CONTROL AUTHORITIES
OF THE FEDERAL REPUBLIC OF GERMANY

Section A – Parties
Consignee (name, address, contact details and website in block letters)
QUIMITRONICA SAS
AV CALLE 26 No. 85D55 MOD. 6 BODEGA-A-A-149A, BOGOTÁ
DORADO PLAZA 110931 COLOMBIA
HERNAN VELANDIA, gerencia@quimtronica.com
www.quimitornica.com

End-user (name, address, contact details and website in block letters) if different from consignee
Instituto Nacional de medicina Legal y Ciencias Forenses
Calle 7A No. 12A-51, Bogotá, Colombia
Aideé Pinzón Peralta
dcf@medicinalegal.gov.co
www.medicinalegal.gov.co

Supplier (name, address, contact details and website in block letters)

LGC STANDARDS GMBH
MERCATORSTRASSE 51, 46485 WESSEL GERMANY
dr.ehernstorfergroup@lgcgroup.com
www.lgcstandards.com

Section B – Items
Description of items (goods, software or technology)
CAY-13959-10MG, N,N-DMT
Quantity/Weight (not applicable in case of technology transfer)
1/ 10 mg Total: 10mg
Value (EUR) (for technology only if available)

Section C – Final destination

Country and physical address
COLOMBIA, Calle 7A No. 12A51, Bogotá, D.C.

Section D – End-use
Intended end-use of items (section B)
OBTAIN A STANDARD FOR ANALYSIS OF ACTIVE INGREDIENT FOR PESTICIDES
We (I) certify that the items (section B) and any replica thereof (in case of technology also goods derived
from derived goods of the items) will not be used, in their entirety or in part, in connection with
 the development, production, handling, operation, maintenance, storage, detection, identification or
dissemination of chemical, biological, radiological or nuclear weapons / other explosive devices or the
development, production, maintenance or storage of missiles / other systems capable of delivering such
weapons, or
 the development, production, handling, operation, maintenance or storage of cluster munitions or anti-
personnel mines or
 human rights violations.

“Ciencia con sentido humanitario, un mejor país”

Dirección: dcf@medicinalegal.gov.co
conmutadores 4069977/44 Ext 1247-1248-1249
www.medicinalegal.gov.co
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Yes X No 
The end-user is part of armed forces or internal security forces.
Yes  No X
The above-mentioned items and any replica thereof (in case of technology also goods derived from derived
goods of the items) will be used for civil purposes only.
Yes X No 

Section E – Declaration of commitment with regard to goods and software

In accordance with the regulations of the Federal Republic of Germany which state that granting of an export
license is dependent on the presentation of an EUC, we (I) certify that
- we (I) are (am) the final end-user of the items specified in section B and any replica thereof.
- we (I) will provide the Federal Office for Economic Affairs and Export Control (BAFA) of the Federal Republic
of Germany with a delivery statement upon its request.
- the items and any replica thereof will only be used for the purpose specified in section D.
- the items and any replica thereof will remain in country

_COLOMBIA_________________________________________________
or, consistent with the issued authorization, will only be re-exported (e.g. after incorporation) to country

__________________________________________________ .

- we (I) will neither re-export the items nor export any replica thereof to other third countries without the prior
consent of BAFA.
- we (I) certify not to re-export the items and any replica thereof to third countries without prior consent of the
export control authority of our (my) country.
- the items and any replica thereof will not be re-exported/exported or otherwise nationally or internationally
re-sold or transferred to a destination subject to UN, EU or OSCE embargo where that act would be in
breach of the terms of that embargo.

BOGOTA ,COLOMBIA
21.9.2022
_______________________________ _____________________________________
Place, Date Original signature of end-user

AIDEÉ PINZÓN PERALTA

________________________________ National Group of Forensic Sciences Coordinator
Company stamp/Official seal

Section F – Declaration of commitment with regard to technology

In accordance with the regulations of the Federal Republic of Germany that granting of an export license is
dependent on the presentation of an EUC, we (I) certify that
- we (I) are (am) the final end-user of the technology specified in section B.
- we (I) will provide the Federal Office for Economic Affairs and Export Control (BAFA) of the Federal
Republic of Germany with a delivery statement upon its request.
- the technology will be treated strictly confidential.
- the technology and any replica thereof will only be used for the purpose specified in section D.
- we (I) shall neither pass on the technology or any replica thereof nor make knowledge available to parties
other than specified in section A.

We (I) further certify that goods derived from derived goods of the technology specified in section B will
- only be used for the purpose specified in section D.
“Ciencia con sentido humanitario, un mejor país”
Dirección: Calle 7 A No. 12 A 51 Piso 4, dcf@medicinalegal.gov.co
conmutadores 6014069977/44 Ext 1247-1248-1250
www.medicinalegal.gov.co
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- remain in country

COLOMBIA
__________________________________________________
or, consistent with the issued authorization, will only be re-exported (e.g. after incorporation) to country

__________________________________________________ .

We (I) further certify that

- we (I) will neither re-export the technology nor export the derived goods or any replica thereof without
prior consent of BAFA.
- we (I) will not re-export the technology nor export any replica thereof nor derived goods to third countries
without prior consent of the export control authority of our (my) country.
- the technology, the derived goods or any replica thereof will not be re-exported/exported or otherwise
nationally or internationally re-sold or transferred to a destination subject to UN, EU or OSCE embargo
where that act would be in breach of the terms of that embargo.
- the derived goods will only be delivered to a third person/company on condition that it accepts the
commitments of the above declaration as binding for itself and on condition that it is known to be
trustworthy and reliable in the observance of such commitments.

BOGOTA ,COLOMBIA
21.9.2022 AIDEÉ PINZÓN PERALTA
________________________________ National Group of Forensic Sciences Coordinator
Place, Date

________________________________ _____________________________________
Company stamp/Official seal Name and title of signer in block letters

Section G – Trader Statement

In accordance with the regulations of the Federal Republic of Germany which state that granting of an export
license is dependent on the presentation of an EUC, we (I) certify that the
- goods specified in section B and any replica thereof will be delivered only to customers considered
absolutely reliable.
- goods and any replica thereof will only be used for the purpose specified in section D.
- goods will only be delivered to a third person/company on condition that it accepts the commitments of the
above declaration as binding for itself and on condition that it is known to be trustworthy and reliable in the
observance of such commitments.

BOGOTA ,COLOMBIA
21.9.2022 _____________________________________
________________________________ Original signature of consignee
Place, Date

________________________________ AIDEÉ PINZÓN PERALTA

Company stamp/Official seal National Group of Forensic Sciences Coordinator

“Ciencia con sentido humanitario, un mejor país”

Dirección: Calle 7 A No. 12 A 51 Piso 4, dcf@medicinalegal.gov.co
conmutadores 6014069977/44 Ext 1247-1248-1250
www.medicinalegal.gov.co